Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Roswell Park Cancer Institute

Buffalo, NY · CCN 330354 · Rates published

19,011 distinct procedures filed
15 distinct payers
424,350 rate rows
2026-04-01 last MRF observed
Data quality

391,004 of 424,350 rate rows are consumer-grade (92.1%)

33,346 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,300
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
placeholder amount (≤ $0.02) — excluded from medians 221
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.roswellpark.org/sites/default/files/161552370_roswell-park-cancer-institute_standardcharges.json.zip
Found on page https://www.roswellpark.org/become-patient/paying-cancer-care/understanding-charges-services/getting-estimate-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint e3a23fd4caa10d4c… · 3,238,526 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,367,596.68 $4,982,480.53 $3,570,000.00 nat. median
$3,705,478
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,030,583.51 $4,992,000.00 $3,456,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $2,968,429.69 $4,836,000.00 $3,348,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,691,817.21 $4,374,423.90 $3,029,399.02 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,243,480.07 $4,934,035.78 $2,962,090.95 nat. median
$2,467,989
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,130,981.60 $4,816,046.40 $2,834,546.00 nat. median
$2,401,965
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $704,192.56 $2,222,313.96 $978,147.97 nat. median
$813,967
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $540,719.40 $1,706,420.02 $762,498.38 nat. median
$739,658
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $517,091.04 $1,631,852.86 $718,257.45 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $497,226.98 $1,622,247.62 $678,702.32 nat. median
$640,950
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $508,376.11 $1,607,193.46 $672,404.09 nat. median
$623,527
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $487,265.73 $1,537,729.17 $643,342.20 nat. median
$608,239
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $447,126.55 $1,411,056.63 $590,346.01 nat. median
$592,235
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $4,877.46 $599,252.17 $531,580.12 nat. median
$359,244
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $67.82 $706,695.24 $292,648.60 nat. median
$110,084
outlier · 2.7×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $285,533.88 $285,533.88 $285,533.88 nat. median
$34,385
outlier · 8.3×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $187,913.83 $593,024.63 $261,018.85 nat. median
$209,753
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $59,490.00 $396,241.66 $221,639.42 nat. median
$190,359
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $206,901.16 $206,901.16 $206,901.16 nat. median
$62,577
outlier · 3.3×
834
MS_DRG 		Acute Leukemia With Mcc 7 $20,048.00 $1,310,584.30 $178,277.91 nat. median
$50,314
outlier · 3.5×
197
MS_DRG 		Interstitial Lung Disease With Cc 1 $167,618.00 $167,618.00 $167,618.00 nat. median
$10,133
outlier · 16.5×
252
MS_DRG 		Other Vascular Procedures With Mcc 1 $167,028.18 $167,028.18 $167,028.18 nat. median
$32,644
outlier · 5.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $17,600.00 $356,700.90 $165,726.53 nat. median
$53,841
outlier · 3.1×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $146,208.95 $146,208.95 $146,208.95 nat. median
$15,902
outlier · 9.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $61,589.04 $230,289.15 $145,939.10 nat. median
$53,419
outlier · 2.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $60,762.30 $312,152.17 $145,814.62 nat. median
$111,503
1.3× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $141,239.35 $141,239.35 $141,239.35 nat. median
$38,534
outlier · 3.7×
693
MS_DRG 		Urinary Stones With Mcc 1 $125,404.88 $125,404.88 $125,404.88 nat. median
$13,694
outlier · 9.2×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 2 $62,585.07 $184,288.44 $123,436.76 nat. median
$38,337
outlier · 3.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $56,898.30 $397,778.51 $119,469.82 nat. median
$53,768
outlier · 2.2×
539
MS_DRG 		Osteomyelitis With Mcc 1 $118,980.00 $118,980.00 $118,980.00 nat. median
$18,822
outlier · 6.3×
835
MS_DRG 		Acute Leukemia With Cc 5 $14,124.84 $335,872.07 $115,134.00 nat. median
$20,369
outlier · 5.7×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $33,374.34 $116,290.59 $109,524.59 nat. median
$30,137
outlier · 3.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 3 $6,098.24 $170,000.00 $108,771.04 nat. median
$50,830
outlier · 2.1×
810
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 $4,383.66 $207,839.60 $106,111.63 nat. median
$10,337
outlier · 10.3×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 4 $20,436.00 $239,203.09 $103,179.19 nat. median
$11,976
outlier · 8.6×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 1 $100,738.00 $100,738.00 $100,738.00 nat. median
$15,332
outlier · 6.6×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $82,337.95 $116,089.66 $99,213.80 nat. median
$19,195
outlier · 5.2×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $96,658.65 $96,658.65 $96,658.65 nat. median
$21,136
outlier · 4.6×
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 2 $29,416.08 $355,755.42 $95,267.47 nat. median
$17,555
outlier · 5.4×
38240
HCPCS 		Transplt Allo Hct/donor 4 $437.75 $226,431.52 $94,025.85 nat. median
$12,874
outlier · 7.3×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $52,697.39 $198,410.37 $92,682.78 nat. median
$70,178
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $91,031.93 $91,031.93 $91,031.93 nat. median
$96,983
0.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $47,592.00 $516,723.30 $90,114.74 nat. median
$49,944
1.8× median
103
MS_DRG 		Headaches Without Mcc 1 $89,628.40 $89,628.40 $89,628.40 nat. median
$8,798
outlier · 10.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 $35,631.01 $217,736.04 $88,764.00 nat. median
$42,755
outlier · 2.1×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 $72,433.44 $127,126.20 $87,954.96 nat. median
$26,353
outlier · 3.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 $24,660.58 $139,242.03 $80,710.51 nat. median
$38,687
outlier · 2.1×
654
MS_DRG 		Major Bladder Procedures With Cc 4 $36,453.10 $128,107.98 $78,760.02 nat. median
$26,723
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 19,011 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2057 HCPCS Afamitresgene Autoleucel 40 8 — — $704,192.56 $2,222,313.96 $978,147.97 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 40 8 — — $517,091.04 $1,631,852.86 $718,257.45 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 44 8 — — $508,376.11 $1,607,193.46 $672,404.09 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 44 8 — — $497,226.98 $1,622,247.62 $678,702.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 44 8 — — $447,126.55 $1,411,056.63 $590,346.01 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 40 8 — — $50,507.85 $159,394.33 $70,630.96 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 27 5 — — $540,719.40 $1,706,420.02 $762,498.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 44 8 — — $487,265.73 $1,537,729.17 $643,342.20 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 25 4 — — $12,649.38 $64,983.32 $30,355.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 25 4 — — $60,762.30 $312,152.17 $145,814.62 2026-04-01
N905 OTHER Not Recognized By Opps 4 2 — — $398.42 $73,030.00 $49,445.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 25 4 — — $52,697.39 $198,410.37 $92,682.78 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 25 4 — — $26,784.72 $100,846.86 $47,108.26 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 25 4 — — $27,032.05 $138,870.83 $64,870.27 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 25 4 — — $24,704.34 $126,912.84 $59,284.38 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 25 4 — — $17,944.58 $82,808.32 $38,681.98 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 23 4 — — $330.63 $85,101.49 $39,785.64 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 25 4 — — $12,328.58 $60,319.32 $28,176.77 2026-04-01
L5858 HCPCS Stance Phase Only 25 4 — — $12,538.55 $64,413.91 $30,089.46 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 25 4 — — $16,269.02 $83,578.23 $39,041.63 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 25 4 — — $30,652.49 $115,409.36 $53,910.79 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $91,031.93 $91,031.93 $91,031.93 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 42 7 — — $22,139.93 $69,869.92 $29,231.58 2026-04-01
J9266 HCPCS Pegaspargase Injection 44 8 — — $25,973.91 $81,969.30 $34,739.43 2026-04-01
J9226 HCPCS Supprelin La Implant 44 8 — — $41,139.87 $129,830.55 $55,499.21 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 44 8 — — $57,882.18 $182,666.47 $78,085.20 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 17 5 — — $71,167.10 $125,589.00 $71,167.10 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 40 8 — — $187,913.83 $593,024.63 $261,018.85 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 34 7 — — $2,243,480.07 $4,934,035.78 $2,962,090.95 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 29 6 — — $2,968,429.69 $4,836,000.00 $3,348,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 29 6 — — $2,691,817.21 $4,374,423.90 $3,029,399.02 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 35 7 — — $2,130,981.60 $4,816,046.40 $2,834,546.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 29 6 — — $3,030,583.51 $4,992,000.00 $3,456,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 5 — — $3,367,596.68 $4,982,480.53 $3,570,000.00 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 22 3 — — $7,637.26 $65,990.25 $30,894.46 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 22 3 — — $7,637.26 $65,990.25 $30,894.46 2026-04-01
C1722 HCPCS Aicd, Single Chamber 4 1 — — $36,418.76 $42,845.60 $42,845.60 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 42 7 — — $51,926.27 $163,870.63 $71,193.48 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $54,246.00 $54,246.00 $54,246.00 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $19,986.00 $55,993.03 $48,785.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $16,555.08 $98,054.17 $78,694.04 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $96,658.65 $96,658.65 $96,658.65 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $29,862.00 $29,862.00 $29,862.00 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 2 2 — — $7,782.00 $64,608.64 $36,195.32 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 14 6 — — $3,200.00 $218,988.00 $39,885.58 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $27,248.00 $104,486.79 $65,867.39 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 32 4 — — $744.03 $94,091.10 $39,053.44 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 4 — — $743.82 $94,091.10 $39,053.44 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 4 — — $557.38 $94,091.10 $39,053.44 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 30 4 — — $1,487.75 $65,990.25 $27,608.44 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 30 4 — — $1,792.62 $65,990.25 $27,608.44 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 30 4 — — $1,250.43 $65,990.25 $27,608.44 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $39,654.64 $39,654.64 $39,654.64 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $75,977.44 $75,977.44 $75,977.44 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $6,410.48 $53,580.00 $29,995.24 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 6 4 — — $4,800.00 $123,656.00 $48,368.03 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 6 3 — — $5,518.36 $192,793.20 $37,452.57 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 — — $27,948.00 $27,948.00 $27,948.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $62,949.19 $62,949.19 $62,949.19 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 2 1 — — $3,837.80 $73,840.12 $38,838.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 2 2 — — $23,001.33 $63,695.16 $43,348.25 2026-04-01
90288 HCPCS Botulism Ig IV 8 2 — — $48,705.00 $56,936.15 $48,705.00 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 6 — — $16,224.00 $60,843.60 $29,715.68 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 7 — — $17,600.00 $204,900.67 $42,677.04 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $206,901.16 $206,901.16 $206,901.16 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 2 — — $29,790.07 $33,374.34 $31,582.20 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 9 6 — — $6,400.00 $55,424.00 $29,376.13 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $34,060.00 $34,060.00 $34,060.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $47,448.00 $47,448.00 $47,448.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $82,337.95 $116,089.66 $99,213.80 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $25,013.42 $218,832.11 $67,509.75 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $19,890.41 $40,772.36 $30,331.39 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 4 3 — — $3,205.24 $134,241.38 $33,171.61 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 6 — — $4,742.86 $244,564.07 $34,839.00 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 10 5 — — $3,333.26 $329,692.37 $39,147.72 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 — — $14,583.04 $190,124.00 $58,347.50 2026-04-01
835 MS_DRG Acute Leukemia With Cc 10 5 — — $14,124.84 $335,872.07 $115,134.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 7 — — $20,048.00 $1,310,584.30 $178,277.91 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 — — $17,383.97 $50,664.16 $40,818.03 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $4,932.00 $47,606.04 $29,862.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $4,048.94 $143,769.95 $43,497.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $35,631.01 $217,736.04 $88,764.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 3 — — $56,898.30 $397,778.51 $119,469.82 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 9 5 — — $6,812.00 $76,522.00 $29,740.98 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 5 4 — — $32,087.16 $50,959.00 $46,416.00 2026-04-01
813 MS_DRG Coagulation Disorders 7 6 — — $6,530.92 $259,072.03 $48,672.00 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 3 — — $19,770.00 $51,408.00 $28,692.14 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 7 3 — — $8,277.54 $119,504.53 $40,586.00 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $4,383.66 $207,839.60 $106,111.63 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 6 — — $10,234.00 $72,891.00 $28,823.89 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 3 — — $22,724.00 $86,268.09 $43,760.52 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $74,932.00 $74,932.00 $74,932.00 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 — — $32,448.00 $72,858.94 $52,653.47 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 2 2 — — $19,314.26 $48,309.70 $33,811.98 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 1 1 — — $63,514.00 $63,514.00 $63,514.00 2026-04-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 3 2 — — $19,254.72 $47,684.00 $36,085.49 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 2 — — $19,827.32 $46,560.00 $33,193.66 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $44,687.28 $44,687.28 $44,687.28 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 2 2 — — $10,226.32 $71,631.40 $40,928.86 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $100,738.00 $100,738.00 $100,738.00 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $37,630.55 $37,630.55 $37,630.55 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $47,341.79 $47,341.79 $47,341.79 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 4 2 — — $15,245.60 $84,655.57 $44,384.72 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 3 — — $17,860.00 $94,569.37 $43,728.21 2026-04-01
69930 HCPCS Implant Cochlear Device 32 4 — — $2,295.97 $118,693.09 $49,264.75 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $146,208.95 $146,208.95 $146,208.95 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 1 1 — — $37,082.60 $37,082.60 $37,082.60 2026-04-01
693 MS_DRG Urinary Stones With Mcc 1 1 — — $125,404.88 $125,404.88 $125,404.88 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 2 2 — — $15,816.00 $60,445.07 $38,130.54 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 3 2 — — $29,416.08 $355,755.42 $95,267.47 2026-04-01
683 MS_DRG Renal Failure With Cc 11 5 — — $3,966.00 $59,488.00 $35,814.77 2026-04-01
682 MS_DRG Renal Failure With Mcc 12 6 — — $27,248.00 $220,114.05 $36,520.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $43,626.00 $44,149.12 $43,887.56 2026-04-01
66683 HCPCS Implantation Iris Prosthesis 25 4 — — $482.97 $59,255.71 $27,679.92 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $47,495.71 $51,778.84 $49,637.27 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 7 5 — — $27,035.84 $84,655.57 $52,379.38 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 8 4 — — $36,453.10 $128,107.98 $78,760.02 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $47,606.04 $47,606.04 $47,606.04 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 31 4 — — $306.36 $69,836.56 $28,999.68 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 30 4 — — $613.74 $111,081.58 $46,473.38 2026-04-01
64580 HCPCS Implant Neuroelectrodes 32 4 — — $573.72 $69,836.56 $28,986.36 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 31 4 — — $1,180.36 $158,558.56 $65,841.56 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/Mcc 1 1 — — $34,454.39 $34,454.39 $34,454.39 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 7 3 — — $28,563.70 $66,220.32 $36,589.44 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 2 — — $19,190.70 $138,219.87 $46,348.12 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 4 — — $677.19 $111,081.58 $46,105.52 2026-04-01
63655 HCPCS Implant Neuroelectrodes 31 4 — — $1,536.01 $69,836.56 $28,999.68 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $51,053.94 $51,053.94 $51,053.94 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $48,176.81 $48,176.81 $48,176.81 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 30 4 — — $400.70 $111,081.58 $46,473.38 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 4 — — $1,570.09 $111,081.58 $46,105.52 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 4 — — $951.75 $111,081.58 $46,105.52 2026-04-01
602 MS_DRG Cellulitis With Mcc 5 4 — — $10,120.08 $78,550.14 $35,645.16 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 4 3 — — $7,908.00 $175,742.95 $33,411.95 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 2 2 — — $13,795.90 $49,815.64 $31,805.77 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $32,000.00 $40,677.49 $36,338.74 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 1 — — $49,793.55 $49,793.55 $49,793.55 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 1 1 — — $38,596.33 $38,596.33 $38,596.33 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 1 1 — — $72,216.93 $72,216.93 $72,216.93 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $28,647.74 $28,647.74 $28,647.74 2026-04-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $49,505.73 $49,505.73 $49,505.73 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 — — $35,951.03 $35,951.03 $35,951.03 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 15 7 — — $187.82 $140,447.29 $46,607.08 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $29,173.68 $29,173.68 $29,173.68 2026-04-01
5627 OTHER Level 7 Radiation Therapy 18 9 — — $10,124.61 $65,449.58 $36,369.50 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $42,669.12 $75,012.00 $58,840.56 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 — — $19,827.33 $53,496.00 $36,661.67 2026-04-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $28,677.74 $28,677.74 $28,677.74 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $52,813.07 $52,813.07 $52,813.07 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 29 4 — — $1,724.23 $74,609.93 $31,447.52 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 32 4 — — $1,365.72 $74,609.93 $30,967.60 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 29 4 — — $1,971.41 $74,609.93 $31,447.52 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 32 4 — — $1,651.60 $74,609.93 $30,967.60 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 32 4 — — $1,552.84 $74,609.93 $30,967.60 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 32 4 — — $1,258.28 $74,609.93 $30,967.60 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 4 — — $21,288.00 $59,488.00 $37,775.07 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $118,980.00 $118,980.00 $118,980.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 6 4 — — $3,475.56 $71,171.24 $36,414.12 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 32 4 — — $1,381.00 $74,609.93 $30,967.60 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 32 4 — — $1,381.00 $74,609.93 $30,967.60 2026-04-01
53444 HCPCS Insert Tandem Cuff 32 4 — — $1,522.20 $74,609.93 $30,967.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $285,533.88 $285,533.88 $285,533.88 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $33,374.34 $142,114.00 $47,734.03 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 1 — — $33,374.34 $116,290.59 $109,524.59 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $31,498.43 $31,498.43 $31,498.43 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $54,084.64 $54,084.64 $54,084.64 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 6 — — $9,910.82 $73,124.37 $34,272.66 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 2 — — $27,771.24 $44,484.51 $36,365.24 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 3 — — $7,293.42 $244,888.97 $44,375.16 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 5 — — $17,616.00 $87,613.50 $51,842.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $141,239.35 $141,239.35 $141,239.35 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $25,471.62 $152,351.09 $58,648.32 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 — — $9,864.00 $59,445.78 $34,654.89 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $11,611.20 $87,794.28 $69,841.23 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $21,648.80 $51,943.20 $28,576.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 11 6 — — $13,795.90 $72,986.42 $39,816.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 7 — — $9,654.44 $89,618.66 $40,433.20 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 4 — — $16,555.08 $72,688.08 $54,209.23 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $57,127.38 $63,456.00 $60,291.69 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 7 — — $11,548.00 $145,752.79 $35,720.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 31 4 — — $437.75 $226,431.52 $94,025.85 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $39,834.84 $39,834.84 $39,834.84 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 4 — — $12,689.00 $113,026.01 $47,558.27 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 9 4 — — $10,816.00 $123,366.66 $44,916.00 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 31 4 — — $636.52 $65,990.25 $27,402.50 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 31 4 — — $841.20 $65,990.25 $27,402.50 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 31 4 — — $1,590.49 $65,990.25 $27,402.50 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 30 4 — — $587.42 $65,990.25 $27,608.44 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 30 4 — — $313.43 $65,990.25 $27,608.44 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 30 4 — — $240.75 $65,990.25 $27,608.44 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 5 4 — — $20,436.00 $61,665.48 $58,033.35 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $42,691.74 $231,427.00 $46,888.19 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $9,954.00 $66,933.39 $38,443.69 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 30 4 — — $500.10 $65,990.25 $27,608.44 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $9,413.28 $132,816.00 $36,463.86 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 4 2 — — $19,680.00 $54,900.92 $31,512.89 2026-04-01
333 MS_DRG Rectal Resection With Cc 7 5 — — $13,369.18 $60,977.99 $45,766.72 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 30 4 — — $260.08 $103,254.37 $43,198.69 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 30 4 — — $250.88 $111,081.58 $46,473.38 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 30 4 — — $374.03 $158,558.56 $66,336.40 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 30 4 — — $387.97 $69,338.26 $29,009.16 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 30 4 — — $709.22 $112,993.67 $47,273.34 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 31 4 — — $686.70 $112,993.67 $46,920.70 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 31 4 — — $661.69 $80,072.45 $33,250.14 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 31 4 — — $636.65 $80,072.45 $33,250.14 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 31 4 — — $1,723.67 $112,993.67 $46,920.70 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 31 4 — — $686.24 $80,072.45 $33,250.14 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 31 4 — — $753.69 $112,993.67 $46,920.70 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 31 4 — — $717.82 $80,072.45 $33,250.14 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 31 4 — — $703.35 $69,338.26 $28,792.76 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 31 4 — — $675.90 $69,338.26 $28,792.76 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 6 — — $12,731.18 $242,480.81 $40,140.91 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 10 5 — — $4,977.00 $94,539.36 $30,011.22 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 5 — — $9,160.82 $200,855.08 $55,569.66 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $4,336.16 $113,455.50 $32,246.75 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 2 2 — — $23,046.14 $47,408.19 $35,227.17 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 4 — — $17,805.06 $120,530.88 $51,438.32 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 6 4 — — $20,436.00 $239,203.09 $103,179.19 2026-04-01
304 MS_DRG Hypertension With Mcc 3 3 — — $24,885.00 $72,632.00 $39,198.56 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $29,624.00 $29,624.00 $29,624.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $59,490.00 $396,241.66 $221,639.42 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 — — $13,132.00 $69,678.00 $30,047.82 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $24,993.23 $171,477.00 $55,617.17 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $66,419.30 $66,419.30 $66,419.30 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $75,951.44 $75,951.44 $75,951.44 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 31 4 — — $1,813.61 $97,677.09 $40,560.48 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $19,827.32 $106,185.09 $63,006.20 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 7 4 — — $5,590.14 $36,171.84 $27,979.93 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 5 4 — — $18,859.29 $92,469.78 $33,638.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $19,780.87 $115,687.74 $55,099.47 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $24,645.00 $39,654.66 $32,149.83 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $167,028.18 $167,028.18 $167,028.18 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 5 — — $22,803.35 $153,652.96 $35,056.35 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $61,589.04 $230,289.15 $145,939.10 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 31 4 — — $3,443.40 $97,677.09 $40,560.48 2026-04-01
22630 HCPCS Lumbar Spine Fusion 31 4 — — $2,910.07 $97,677.09 $40,560.48 2026-04-01
22558 HCPCS Lumbar Spine Fusion 31 4 — — $2,862.97 $97,677.09 $40,560.48 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 4 — — $2,985.00 $97,677.09 $40,541.85 2026-04-01
20808 HCPCS Replantation Hand Complete 30 4 — — $7,461.96 $63,118.26 $27,403.85 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 7 — — $21,611.49 $140,586.07 $49,770.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $21,789.75 $89,953.90 $53,337.48 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 30 4 — — $2,254.02 $97,677.09 $40,865.32 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 2 2 — — $24,099.15 $40,967.00 $32,533.08 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 2 2 — — $2,759.18 $69,678.00 $36,218.59 2026-04-01
199 MS_DRG Pneumothorax With Mcc 5 4 — — $10,300.00 $269,104.04 $32,393.21 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 — — $167,618.00 $167,618.00 $167,618.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 15 7 — — $15,245.60 $76,869.83 $35,652.40 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 15 7 — — $5,774.00 $213,066.57 $35,869.34 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 13 6 — — $9,133.00 $71,388.00 $33,402.21 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 6 — — $4,877.46 $599,252.17 $531,580.12 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 6 3 — — $13,795.90 $67,645.62 $31,372.35 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 5 — — $19,314.26 $79,669.68 $35,022.80 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 4 — — $14,260.96 $174,521.36 $41,619.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 3 — — $6,098.24 $170,000.00 $108,771.04 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 5 — — $8,628.82 $139,356.00 $35,336.17 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 7 — — $9,213.62 $81,600.00 $27,828.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 5 — — $21,253.68 $253,908.43 $77,211.05 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 6 — — $17,600.00 $356,700.90 $165,726.53 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $39,829.07 $39,829.07 $39,829.07 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 3 2 — — $38,029.28 $89,628.39 $54,978.02 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 — — $48,672.00 $48,672.00 $48,672.00 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 1 1 — — $69,186.00 $69,186.00 $69,186.00 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $11,200.00 $96,658.62 $36,035.11 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — — $32,142.10 $88,424.48 $60,283.29 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 3 2 — — $9,160.82 $61,326.25 $30,778.17 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $62,585.07 $184,288.44 $123,436.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 8 — — $67.82 $706,695.24 $292,648.60 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 2 — — $72,433.44 $127,126.20 $87,954.96 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 2 2 — — $14,130.76 $74,060.00 $44,095.38 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 5 — — $24,660.58 $139,242.03 $80,710.51 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $47,592.00 $516,723.30 $90,114.74 2026-04-01
103 MS_DRG Headaches Without Mcc 1 1 — — $89,628.40 $89,628.40 $89,628.40 2026-04-01
101 MS_DRG Seizures Without Mcc 3 3 — — $6,977.00 $33,374.34 $28,433.00 2026-04-01
100 MS_DRG Seizures With Mcc 3 2 — — $19,827.33 $40,790.86 $38,628.52 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 24 4 — — $121.14 $69,836.56 $32,635.84 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 26 3 — — $897.13 $80,072.45 $36,591.82 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 29 4 — — $634.14 $65,990.25 $30,850.98 2026-04-01
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